妊娠合并肺结核患者心理状况研究.docVIP

妊娠合并肺结核患者心理状况研究[摘要] 目的 分析妊娠合并肺结核患者心理状况特点，为探索肺结核患者心理干预方式及宣教方法提供依据。 方法 采用症状自评量表、抑郁自评量表及社会支持评定量表对104例肺结核患者进行问卷调查，其中妊娠合并肺结核45例为妊娠组，非妊娠女性肺结核患者59例为对照组。 结果 症状自评量表评定表明妊娠组与对照组在抑郁、恐怖、偏执3个因子上存在差异（P ＜ 0.05）。抑郁自评量表评定证实，妊娠组抑郁发生率高于对照组（P ＜ 0.05）。社会支持状况方面，妊娠组客观支持评分和社会支持总分高于对照组（P ＜ 0.05），妊娠组支持利用度略低于对照组。 结论 妊娠合并肺结核患者心理健康水平较差，以抑郁为其特点。在执行全程督导管理过程中，应注重消除其不良心理状况。 [关键词] 肺；结核；妊娠；心理状况 [中图分类号] R714.25 [文献标识码] C [文章编号] 1674-4721（2012）06（a）-0171-02 Analysis of the psychological characteristics of the pregnant female tuberculosis patients CHEN Mingchao MA Zhenya YANG Songhua LI Li WANG Wei Kaifeng Anti-tuberculosis Institute in Henan Province, Kaifeng 475004, China [Abstract] Objective To study psychological health status of the pregnant tuberculosis for providing evidences on psychological intervention, and to explore more ways to treatment tuberculosis. Methods One hundred and four cases of female pulmonary tuberculosis were tested with Symptom Check List 90 (SCL-90), Self-rating depression scale (SDS) and social support rating scale (SSRS), including 45 pregnant female pulmonary tuberculosis. Results The SCL-90 scores of depression, terrorist and paranoid showed difference between pregnant patients and non-pregnant patients (P ＜ 0.05). The SDS results showed the depression rate of pregnant patients were significantly higher than that in non-pregnant patients (P ＜ 0.05). The SSRS results showed that the scores on subjective and total social support of pregnant pulmonary tuberculosis group were higher than those of non-pregnant group (P ＜ 0.05). Conclusion The above results show the mental health level is lower in the pregnant pulmonary tuberculosis patients and the psychosocial intervention is necessary along with the clinical treatment. [Key words] Pulmonary; Tuberculosis; Pregnant; Psychological health 肺结核是由结核杆菌引起的慢性传染病，严重影响人类健康及生存质量，因而受到广泛关注。孕产期由于机体免疫力降低，以及内分泌的改变如甲状腺功能亢进、能耗增加等而有利于结核菌在肺内生长、繁殖[1]。妊娠合并肺结核患者有其特殊的心理状态，了解、分析妊娠合并肺结核患者的心理状况特点，有助于探索适合肺结核患者的心理干预方式及宣教方法，进一步提高临床药物治疗效果。